CRITICAL POINTS ▪ Reconstructive surgeons should have multiple procedures at their disposal for delayed tendon reconstruction, including tenolysis, pulley reconstruction, immediate tendon grafting, and staged tendon reconstruction. ▪ Assessment of…
* I gratefully acknowledge Bill Buford, bioengineer, University of Texas at Galveston, formerly at the Paul W. Brand Research Laboratory, Gillis W. Long Hansen’s Disease Center, Carville, Louisiana, for his…
Part I: Staged Flexor Tendon Reconstruction JAMES M. HUNTER * Indications/Contraindications * Part I reproduced from Hunter JM: Staged flexor tendon reconstruction. In Strickland JW, editor: Master techniques in orthopaedic…
“Rule #1: When you get a bizarre finding, first question the test.” † Weinstein, S. 50 Years of somatosensory research. J Hand Ther . 1993;6(1):113. CRITICAL POINTS ▪ Standardized functional…
CRITICAL POINTS ▪ Observation, visual inspection, and palpation provide information regarding the patient’s general health status and present condition. ▪ Therapists and surgeons need to obtain a thorough patient history…
In 1833, Sir Charles Bell wrote: “On the length, strength, free lateral motion, and perfect mobility of the thumb, depends the power of the human hand.” With such a significant…
CRITICAL POINTS ▪ Wound healing occurs in three stages and is characterized by changes in cellularity as different cell types migrate into and out of the wound bed. ▪ Recent…
* I would like to express my gratitude to the following people who contributed their time and material for this chapter: Janine Hareau, PhD, PT, OT, from Clinica de Rehabilitacion…
CRITICAL POINTS ▪ The definition of what constitutes impairment is an evolving process, with the most recent attempt ( AMA Guides to the Evaluation of Permanent Impairment , 6th edition,…
CRITICAL POINTS ▪ Nerve conduction studies (NCS) and electromyography (EMG) provide objective, localizing, prognostically important data about clinically suspected lesions. ▪ NCS and EMG also provide peripheral nerve system context…
